Active NPI
Comcare of Stillwater LLC
- General Practice Physician
- Stillwater, OK
National Provider Identifier
1063877462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- COMCARE OF STILLWATER LLC
- Practice address
- 1417 S Western Rd
Stillwater, OK 74074-6957 - Phone
- (405) 707-3091
- Fax
- (405) 707-3092
- NPI assigned
- Dec 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Turner
- Title
- Chief Executive Officer
- Phone
- (405) 605-3227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1417 S Western Rd
Stillwater, OK 74074-6957
Mailing address
5909 NW Expressway
Suite 300
Oklahoma City, OK 73132-5161
Phone (405) 605-3227
National Provider Directory
National Provider DirectoryLocations
5909 NW Expressway
Ste 300
Oklahoma City, OK 73132
Phone (405) 470-3223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451347200000",
"number": "1063877462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5909 NW EXPRESSWAY",
"address_2": "SUITE 300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731325161",
"telephone_number": "405-605-3227",
"fax_number": "405-470-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 S WESTERN RD",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740746957",
"telephone_number": "405-707-3091",
"fax_number": "405-707-3092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMCARE OF STILLWATER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-29",
"last_updated": "2015-12-29",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "405-605-3227"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.